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HD 1858

An Act relative to facilitating the utilization of psychologists on the health care team

194th Legislature (2025-2026) Introduced by Greg Schwartz

Massachusetts bill removes healthcare barriers for psychologists to practice independently and collaborate with physicians on clinical teams, expanding mental health access.

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Bill Summary · HD 1858

Legislative bill overview

HD 1858 expands the role of licensed psychologists in Massachusetts healthcare settings by facilitating their integration into interdisciplinary health care teams. The bill likely removes or modifies regulatory barriers that currently restrict psychologists' ability to practice certain clinical functions, prescribe medications, or work collaboratively with physicians in hospital and clinic environments.

Why is this important

Healthcare systems increasingly rely on team-based care models to improve patient access and reduce costs. Psychologists are trained mental health professionals whose broader integration could expand mental health services, particularly in underserved areas, and reduce patient wait times. This addresses workforce shortages in behavioral health while potentially lowering overall healthcare costs through more efficient care delivery.

Potential points of contention

  • Scope of practice concerns: Medical boards and physician groups may oppose expanded psychologist authority, particularly regarding medication prescription rights, citing training and liability differences
  • Regulatory clarity: The bill's language about what constitutes legitimate "utilization" could create ambiguity about which specific functions are permitted, leading to implementation disputes
  • Reimbursement implications: Insurance coverage and payment parity for psychologist-led services versus physician-led equivalents remain undefined, affecting healthcare economics

Compiled from official sources — confirm details with the bill’s official record.

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